Pain in the upper middle abdomen may be pancreatitis.
The pancreas is a retroperitoneal organ, located in the upper middle part of the abdomen and close to the retroperitoneum. Most cases of pancreatitis are of biliary origin, in patients with gallbladder or bile duct stones, and are most often triggered by heavy drinking or overeating.
Pancreatitis will appear periumbilical distension, pain can be reflected to the back of the shoulder, mostly accompanied by nausea, vomiting, vomiting pain can not be effectively relieved, and the degree of pain is related to the patient’s body position, take the stooping and holding the knee position, the abdominal pain can be slightly improved.
At this time, blood amylase, urine amylase, blood routine and other tests should be perfected, and as soon as possible to improve the abdominal CT to clarify the situation of peripancreatic exudate. In the treatment, fasting water, gastrointestinal decompression, active fluid resuscitation, inhibition of pancreatic enzyme secretion, anti-inflammatory treatment.
It is recommended that patients with suspected pancreatitis go to a regular hospital as soon as possible to avoid delayed diagnosis and treatment and life-threatening.